Bashor, Kendrick B

Bashor, Kendrick B is an individual health care provider with primary practice located at 96 Graham Rd Suite B, Cuyahoga Falls OH 44223-1205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bashor, Kendrick B can be contacted via phone (330) 923-0553.

Contact Information

Primary practice address
96 Graham Rd Suite B Cuyahoga Falls OH 44223-1205
Fax: (330) 923-0556
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35063767B Ohio

Profile Details

NPI number 1457355083
LBN Legal business name Bashor, Kendrick B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Mar 7th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457355083 NPPES
Ohio MEDICAID 2156876

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